Dot Phrase Utilization and Opioid Prescription at Discharge for Subarachnoid Hemorrhage Patients
Natalie Neale, Rebecca DiBiase, Nerissa Ko, Derrick Cheng, Shaadi Settecase, Maggie Waung, Rachel Vassar · 2026
Read Dot Phrase Utilization and Opioid Prescription at Discharge for Subarachnoid Hemorrhage Patients by Natalie Neale, Rebecca DiBiase, Nerissa Ko, Derrick Cheng, Shaadi Settecase, Maggie Waung, Rachel Vassar (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13619976.txt.
Description
Natalie Neale and six colleagues tried a small charting trick to cut opioid prescriptions for patients recovering from bleeding around the brain. Headache after subarachnoid hemorrhage can be severe and lasting, yet evidence suggests opioids do not treat this pain well. Their team added a standard dot phrase, a reusable text block, to admission and discharge notes, prompting doctors to state whether opioids were prescribed, why, and how they would be tapered.
Discharge opioid rates trended downward overall after the change. Cases where the phrase was actually used showed far lower prescribing than cases without it. Prescribing also differed sharply by service, with the neurovascular team both using the phrase more and prescribing less than neurosurgery. The authors own that tangle plainly: the phrase may help, but team habits could explain much of the gap, so the result stays suggestive.
Catalog record
| CREATOR | Natalie Neale, Rebecca DiBiase, Nerissa Ko, Derrick Cheng, Shaadi Settecase, Maggie Waung, Rachel Vassar |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |